Spectraforce Technologies, Inc.

If yes, please provide the details.

Salutation*

First Name

Last Name*

Title*

Role*

Phone number*

Address 1*

Address 2

City*


State*	Zip Code*

Country*

Corporate Headquarters

How many offices do you have worldwide?

Corporate Website URL*

In what year was your company founded?*

How many customers does your company have?*

How many total employees does your company have?*

Total Net Revenue for 2005:

Total Net Revenue for 2006:

Total Net Revenue for 2007:

Which vertical industries do you specialize in?*

Please provide a brief description of your company and its products/services:*

How will your products/services and partnership add value to Spectraforce and our customers?*

When and how will this joint solution be offered to the market?*

Indicate the level of investment your company plans for partnering activities:*

What are your expectations from Spectraforce if accepted into the program?*

Reference Customer Name:

Reference Company Name:

Reference Customer Company Location:

Reference Customer Phone Number:

Reference Customer Email Address:

Core Competencies:

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Additional comments: